Wong C H, Trinh T M, Robbins A N, Rowen S J, Cohen A J
Department of Radiological Sciences, University of California, Irvine Medical Center, Orange 92668-3298.
AJR Am J Roentgenol. 1993 Dec;161(6):1199-203. doi: 10.2214/ajr.161.6.8249725.
Acute appendicitis is usually diagnosed on the basis of signs, symptoms, and results of simple laboratory tests. However, in patients with atypical clinical features, imaging studies play a significant role in preoperative diagnosis and determination of proper treatment. In this pictorial essay, we present a spectrum of imaging findings in patients whose clinical features were unusual because of the abnormal position of the appendix, the presence of other illnesses, or the presence of complications in children. Appendicitis was not initially considered on clinical presentation in any of our cases. In most cases, the correct diagnosis of appendicitis was made or, at least in retrospect, could have been made on the basis of imaging findings.
急性阑尾炎通常根据体征、症状及简单实验室检查结果来诊断。然而，对于临床特征不典型的患者，影像学检查在术前诊断及确定恰当治疗方案方面发挥着重要作用。在这篇影像专题文章中，我们展示了一系列因阑尾位置异常、存在其他疾病或儿童出现并发症而导致临床特征不寻常的患者的影像学表现。我们所有病例的临床表现最初均未考虑阑尾炎。在大多数病例中，根据影像学表现做出了阑尾炎的正确诊断，或者至少在回顾时本可做出诊断。
